National Provider Identifier

Dianea Alice Kohl, RN, MFT

Dianea Alice Kohl, RN, MFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Ithaca, NY and a listed phone number of (607) 277-6440.

NPI 1811107790Ithaca, NYMarriage & Family Therapist

Profile Overview

NPI
1811107790
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
May 22, 2007
Last Updated
October 29, 2007

Practice Location

  • 125 W Green St
  • Ithaca, NY 14850-5419

Phone: (607) 277-6440

Mailing Address

  • 4 Gray RD
  • Ithaca, NY 14850-8762

Specialties

  • Marriage & Family Therapist (106H00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1811107790
Entity Type
Individual
Last Name
Kohl
First Name
Dianea
Middle Name
Alice
Name Prefix
MS.
Credential
RN, MFT
Mailing Street Address
4 Gray RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8762
Mailing Country
US
Mailing Phone
(607) 277-6440
Practice Street Address
125 W Green St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5419
Practice Country
US
Practice Phone
(607) 277-6440
Enumeration Date
May 22, 2007
Last Updated
October 29, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X), Registered Nurse (163W00000X)